Journal of
Public Health and Epidemiology

  • Abbreviation: J. Public Health Epidemiol.
  • Language: English
  • ISSN: 2141-2316
  • DOI: 10.5897/JPHE
  • Start Year: 2009
  • Published Articles: 474

Full Length Research Paper

Assessment of impediments affecting health systems response to neurocysticercosis in two districts (Gulu and Amuru) of Northern Uganda: A cross sectional study

Simon Peter Alarakol
  • Simon Peter Alarakol
  • Department of Medical Biochemistry, Faculty of Medicine, Gulu University, P. O. Box 166, Gulu, Uganda.
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Constantine Steven Labongo Loum
  • Constantine Steven Labongo Loum
  • Department of Public Health, Faculty of Medicine, Gulu University, P. O. Box 166, Gulu, Uganda.
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Walter Onen Yagos
  • Walter Onen Yagos
  • Medical Library, Faculty of Medicine, Gulu University, P. O. Box 166, Gulu, Uganda.
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Kenneth Luyramamoi
  • Kenneth Luyramamoi
  • Department of Microbiology and Parasitology, Faculty of Medicine, Gulu University P. O. Box 166, Gulu, Uganda.
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  •  Received: 07 November 2017
  •  Accepted: 27 December 2017
  •  Published: 30 April 2018

Abstract

Northern Uganda is recovering from the effects of prolonged war which devastated most of the health systems in the region. The aim of the study was to identify health sector impediments affecting health systems response to Neurocysticercosis in the districts of Gulu and Amuru.  A cross sectional study was conducted on two hospitals and 10 health centers.  Two hundred and three (n=203) respondents were involved. Questionnaires were used to collect the data. One hundred and forty two (70.0%) of the respondents are permanently employed (P=0.01). Seventy three point nine percent (73.9%) of respondents are residents from Gulu districts (P=0.024). One hundred and nine (53.4%) of respondents reported they received training on infectious diseases (P=0.507). One hundred and forty three (70%) reported their health facilities have polices (P=0.04). One hundred and forty seven (72.4%) reported in-charges reside at health facilities (P=0.01). One hundred and twenty four (61%) of the respondents reported Government is the primary source of funding (P=0.02). One hundred and seventeen (57.6%) of the respondents reported funding are irregular (P=0.23). Eighty seven percent (87%) reported inadequate physical infrastructure (P=0.04). Seventy three point six have limited knowledge on the diagnosis of Neurocysticercosis (P=0.01) and many prescribe anti-helminthic drugs to patients (P=0.27). Despite improvement in the healthcare services in the health sectors, health systems response to Neurocysticercosis in Gulu and Amuru, Northern Uganda is weak with most health facilities operating minimally. There is need for holistic approach to improvement of health systems in the region through increased Government funding and advocacy.

Key words: Impediments, health systems, neurocysticercosis, communities, northern Uganda.